Experimental Investigations into Assessment of Thrust Force and Temperature in Bone Drilling

Drilling of bone is a challenging task for surgeons due to its effect on bone tissues. During drilling, it is noted that the temperature of bone increases. This increase in temperature if above 47°C causes thermal necrosis. Experiments were conducted to study the effect of input drilling parameters and drill bit parameters on bone health. To plan experiments a full factorial design method was used. An analysis is done on the effect of input parameters on thrust force and temperature of bone. The analysis of results shows an increase in thrust force and temperature when the feed rate increases and the spindle speed decreases. Further, the analysis of results shows an increase in thrust force and temperature when point angle increases and helix angle decreases. The increase in thrust force results in temperature rise. Scanning electron microscopy is done to analyze the surface topography of drilled hole. SEM image analysis shows an increase micro-crack in the drilled area when the thrust force and temperature increases.

Thermal Management of Bone Drilling Based on Rotating Heat Pipe

Bone drilling is a common surgical operation, which often causes an increase in bone temperature. A temperature above 47 °C for 60 s is the critical temperature that can be allowed in bone drilling because of thermal bone osteonecrosis. Therefore, thermal management in bone drilling by a rotating heat pipe was proposed in this study. A new rotating heat pipe drill was designed, and its heat transfer mechanism and thermal management performance was investigated at occasions with different input heat flux and rotational speed. Results show that boiling and convection heat transfer occurred in the evaporator and film condensation appears in the condenser. The thermal resistance decreases with the increase of the rotational speed at the range from 1200 to 2000 rpm and it decreases as the input heat flux rises from 5000 to 10,000 W/m2 and increases at 20,000 W/m2. The temperature on the drill tip was found to be 46.9 °C with an input heat flux of 8000 W/m2 and a rotational speed of 2000 rpm. The new designed rotating heat pipe drill showed a good prospect for application to bone drilling operations.

Temperature measurement methods in an experimental setup during bone drilling: A brief review on the comparison of thermocouple and infrared thermography

Predicting thermal response in orthopedic surgery or dental implantation remains a significant challenge. This study aims to find an effective approach for measuring temperature elevation during a bone drilling experiment by analyzing the existing methods. Traditionally thermocouple has frequently been used to predict the bone temperature in the drilling process. However, several experimental studies demonstrate that the invasive method using thermocouple is impractical in medical conditions and preferred the thermal infrared (IR) camera as a non-invasive method. This work proposes a simplified experimental model that uses the thermocouple to determine temperature rise coupled with the thermal image source approach. Furthermore, our new method provides a significant opportunity to calibrate the thermal IR camera by finding out the undetected heat elevation in a workpiece depth.

Drill splatter in orthopaedic procedures and its importance during the COVID-19 pandemic

Aims During the COVID-19 pandemic, drilling has been classified as an aerosol-generating procedure. However, there is limited evidence on the effects of bone drilling on splatter generation. Our aim was to quantify the effect of drilling on splatter generation within the orthopaedic operative setting. Methods This study was performed using a Stryker System 7 dual rotating drill at full speed. Two fluid mediums (Videne (Solution 1) and Fluorescein (Solution 2)) were used to simulate drill splatter conditions. Drilling occurred at saw bone level (0 cm) and at different heights (20 cm, 50 cm, and 100 cm) above the target to simulate the surgeon ‘working arm length’, with and without using a drill guide. The furthest droplets were marked and the droplet displacement was measured in cm. A surgical microscope was used to detect microscopic droplets. Results Bone drilling produced 5 cm and 7 cm droplet displacement using Solutions 1 and 2, respectively. Drilling at 100 cm above the target produced the greatest splatter generation with a 95 cm macroscopic droplet displacement using Solution 2. Microscopic droplet generation was noticed at further distances than what can be macroscopically seen using Solution 1 (98 cm). Using the drill guide, there was negligible drill splatter generation. Conclusion Our study has shown lower than anticipated drill splatter generation. The use of a drill guide acted as a protective measure and significantly reduced drill splatter. We therefore recommend using a drill guide at all times to reduce the risk of viral transmission in the operative setting. Cite this article: Bone Jt Open 2021;2(9):752–756.